| NPI | 1932106358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE L. REED Officer, Authorized Official 972-763-3859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000985) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2014-09-30 |